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Updated: Jun 7, 2025

Visualization of Amyloid β Deposits in the Human Brain with Matrix-assisted Laser Desorption/Ionization Imaging Mass Spectrometry
Published on: March 7, 2019
Amyloid-beta metabolism in age-related neurocardiovascular diseases
Evmorfia Aivalioti1, Georgios Georgiopoulos1,2,3, Simon Tual-Chalot4
1Department of Clinical Therapeutics, National and Kapodistrian University of Athens Medical School, PO Box 11528, 80 Vas. Sofias Str., Athens, Greece.
Insights
Amyloid-beta (Aβ) peptide metabolism imbalance may link age-related neurocardiovascular diseases. Interventions targeting Aβ levels show potential for treating brain, vascular, and heart conditions.
Area of Science:
- Neurocardiovascular Medicine
- Aging Research
- Vascular Biology
Background:
- Shared risk factors link cardiovascular and cerebrovascular diseases, including stroke and Alzheimer's.
- Endothelial dysfunction and blood-brain barrier compromise are implicated in age-related diseases.
- Imbalances in amyloid-beta (Aβ) peptide metabolism may connect neurocardiovascular conditions.
Purpose of the Study:
- To review the role of amyloid-beta (Aβ) as a potential link between age-related neurocardiovascular diseases.
- To explore the effects of various interventions on Aβ metabolism across different body tissues and fluids.
- To discuss clinical implications, knowledge gaps, and future research directions for Aβ in neurocardiovascular health.
Main Methods:
- Narrative review of existing epidemiological and scientific literature.
- Analysis of studies investigating Aβ metabolism in the brain, cerebrospinal fluid, blood, and vascular tissues.
- Examination of how genetic factors, age, lifestyle, and therapeutic interventions influence Aβ levels.
Main Results:
- Aβ metabolism dysregulation is associated with cardio- and cerebrovascular diseases.
- Interventions targeting Aβ can modulate its levels in the brain, blood, and peripheral tissues.
- Aβ modulation impacts brain, vascular, and cardiac health, suggesting a unifying mechanism.
Conclusions:
- Amyloid-beta (Aβ) peptide represents a potential common pathway in age-related neurocardiovascular diseases.
- Targeting Aβ metabolism offers therapeutic possibilities for conditions like stroke, Alzheimer's, and heart disease.
- Further research is needed to translate these findings into effective clinical strategies for neurocardiovascular health.
Abstract:
Epidemiological evidence suggests the presence of common risk factors for the development and prognosis of both cardio- and cerebrovascular diseases, including stroke, Alzheimer's disease, vascular dementia, heart, and peripheral vascular diseases. Accumulation of harmful blood signals may induce organotypic endothelial dysfunction affecting blood-brain barrier function and vascular health in age-related diseases. Genetic-, age-, lifestyle- or cardiovascular therapy-associated imbalance of amyloid-beta (Aβ) peptide metabolism in the brain and periphery may be the missing link between age-related neurocardiovascular diseases. Genetic polymorphisms of genes related to Aβ metabolism, lifestyle modifications, drugs used in clinical practice, and Aβ-specific treatments may modulate Aβ levels, affecting brain, vascular, and cardiac diseases. This narrative review elaborates on the effects of interventions on Aβ metabolism in the brain, cerebrospinal fluid, blood, and peripheral heart or vascular tissues. Implications for clinical applicability, gaps in knowledge, and future perspectives of Aβ as the link among age-related neurocardiovascular diseases are also discussed.
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